Active NPI
Brandon B Or, OD
- Optometrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008767-1
- Practice address
- 682 Union St
Brooklyn, NY 11215-2047 - Phone
- (347) 560-8393
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008767-1 | NY | Primary |
Addresses
Primary practice location
682 Union St
Brooklyn, NY 11215-2047
Mailing address
2020 86TH St
Brooklyn, NY 11214-3204
Phone (718) 619-8855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 86TH St
Brooklyn, NY 11214-3204
Phone (718) 619-8855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008767-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NK Optometry PLLC | Optometrist | Current | Accepting new patients |
| Corona Optometry, PC | Optometrist | Current | Accepting new patients |
| Corona Optometry PC | Optometrist | Past | Accepting new patients |
| Bazan Optometric Services LLC | Optometrist | Past | Accepting new patients |
| Park Slope Eye, Optometric PLLC | Optometrist | Past | Accepting new patients |
Locations
2248 31st St
Astoria, NY 11105
Phone (718) 267-1333
233B E 149th St
Bronx, NY 10451
Phone (407) 574-0433
326 7th St
Fl 2
Brooklyn, NY 11215
Phone (718) 489-6290
10306 Roosevelt Ave
Corona, NY 11368
Phone (718) 424-1333
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Optometrist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1346734845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 86TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112143204",
"telephone_number": "718-619-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 UNION ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152047",
"telephone_number": "347-560-8393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OR",
"first_name": "BRANDON",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-18",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008767-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.